Pharmacy · Medication review request letter · Task 3

Difficulty swallowing solid medicines

You are a pharmacist. The case notes below record your work on 15 September 2026. Write to Dr Farah Khan, General Practitioner, Willow GP Practice, 30 Cedar Close, Brookfield. Request assessment of the swallowing difficulty and a medicine-by-medicine formulation review from the patient’s GP. Include the duty-team contact before further administration. Select the information this recipient needs and write approximately 180-200 words in the body.

Patient: Alice Kemp

Case notes

• N01Date: 15 September 2026. Patient: Alice Kemp.
• N02Past fortnight: increasing difficulty swallowing tablets; sometimes feels tablets stick; small fluid amounts currently manageable.
• N03No choking episode reported today; reports not independently assessed; cause unknown.
• N04Current practice: crushing several medicines together without product-specific checks.
• N05Enclosure: medication list; crushed products marked.
• N06Advice given: each formulation needs individual checking. Duty team contacted today for advice before further administration.
• N07No alternative formulation/dose supplied.
• N08Home: husband organises tablets; previously unaware of crushing.
• N09Consent: husband may join review; written instructions preferred.
• N10Plan: Dr Farah Khan, GP; assess new swallowing symptom, review each prescription/administration plan; no blanket crushing instruction.
• N11Pharmacy can check availability after formulations/prescriptions confirmed.
• N12Background: previously worked in bookshop; enjoys local history.
• N13Recipient: Dr Farah Khan, patient’s GP at Willow GP Practice; practice to coordinate the prescribing response.